ISOLATED OPHTHALMOLOGIC RELAPSE IN A CASE OF SUSPECTED MICROSCOPIC POLYANGIITIS
| Autor: | Luis Caminal-Montero, Marta Fonollá-Gil, J. B. Díaz-López, Luis Trapiella-Martínez |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Systemic disease Visual acuity medicine.diagnostic_test Cyclophosphamide business.industry Retinal vasculitis Magnetic resonance imaging General Medicine medicine.disease Ophthalmology Prednisone medicine Radiology medicine.symptom business Microscopic polyangiitis Systemic vasculitis medicine.drug |
| Zdroj: | RETINAL Cases & Brief Reports. 2:24-26 |
| ISSN: | 1935-1089 |
| Popis: | PURPOSE To report a case of suspected microscopic polyangiitis (MPA) with isolated retinal vasculitis not described previously. METHODS Case report. RESULTS A 50-year-old man was admitted to the hospital because of retinal vasculitis. The patient had been diagnosed with systemic vasculitis type MPA 8 years earlier. Cranial magnetic resonance imaging and transcranial Doppler ultrasonography did not reveal other vascular lesions. ANCA and MPO were detected, but results of systemic evaluation were normal. The patient was treated with intravenous methylprednisolone and cyclophosphamide followed by oral prednisone. Visual acuity improved rapidly, leading to discontinuation of corticosteroid therapy after 2 months. CONCLUSION Retinal vasculitis can be a sign of systemic disease and, in this case, was the single manifestation of a relapse. In some cases of recurrent isolated retinal vasculitis, a short treatment course of immunosuppressive and systemic steroids can be enough for resolution. |
| Databáze: | OpenAIRE |
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